M42.1
M42.1: Adult osteochondrosis of spine
Non-billable headerICD-10-CM
M42.1 is a non-billable header ICD-10-CM code for adult osteochondrosis of spine. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with M42.1
Their own Excludes1 notes name this code, so the conflict is not listed above.
- M40.0Postural kyphosis
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead M42.1
10 child codes. Green means billable.
- M42.10Adult osteochondrosis of spine, site unspecified
- M42.11Adult osteochondrosis of spine, occipito-atlanto-axial region
- M42.12Adult osteochondrosis of spine, cervical region
- M42.13Adult osteochondrosis of spine, cervicothoracic region
- M42.14Adult osteochondrosis of spine, thoracic region
- M42.15Adult osteochondrosis of spine, thoracolumbar region
- M42.16Adult osteochondrosis of spine, lumbar region
- M42.17Adult osteochondrosis of spine, lumbosacral region
- M42.18Adult osteochondrosis of spine, sacral and sacrococcygeal region
- M42.19Adult osteochondrosis of spine, multiple sites in spine